Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.85 / $1,094.85 / $4,338.00	Facility		$1,094.85	$1,094.85	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.85 / $1,221.55 / $2,304.10	Professional		$1,094.85	$1,221.55	$2,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.28 / $2,355.21 / $2,944.02	Professional		$2,140.28	$2,355.21	$2,944.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.66 / $1,517.05 / $2,797.69	Facility		$897.66	$1,517.05	$2,797.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $968.43 / $1,868.53 / $3,275.28	Professional		$968.43	$1,868.53	$3,275.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,930.90 / $2,556.48 / $3,141.50	Facility		$1,930.90	$2,556.48	$3,141.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,605.78 / $2,422.58 / $2,917.81	Professional		$1,605.78	$2,422.58	$2,917.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,221.83 / $1,712.17 / $2,049.36	Professional		$1,221.83	$1,712.17	$2,049.36
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $381.43 / $381.43 / $381.43	Professional	80	$381.43	$381.43	$381.43
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $381.43 / $381.43 / $381.43	Professional	AS	$381.43	$381.43	$381.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.36 / $1,868.91 / $2,906.60	Professional		$1,218.36	$1,868.91	$2,906.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,932.30 / $2,364.19 / $2,364.19	Professional		$1,932.30	$2,364.19	$2,364.19